Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $1,506.10 / $5,141.85	Facility		$127.98	$1,506.10	$5,141.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $192.75 / $192.75	Professional		$192.75	$192.75	$192.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $3,364.14 / $3,954.34	Facility		$153.60	$3,364.14	$3,954.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $1,818.86 / $5,203.80	Facility		$127.98	$1,818.86	$5,203.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.75 / $192.75 / $192.75	Professional		$192.75	$192.75	$192.75